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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CAMILLE FAGAN

Active

Gerontology Occupational Therapist · SAINT LOUIS, MO

Registration Details

NPI Number
1164084455
Provider Type
Individual
Gender
Female
NPI Issued
Jul 8, 2019 (6.7870309836118 yrs)
Last Updated
Oct 1, 2024
License
2019017425 (MO)

Practice Information

Address
11960 WESTLINE INDUSTRIAL DR STE 201
SAINT LOUIS, MO, 631463209
Browse MO providers · Browse ZIP 63146
Phone
8664339555
Primary Specialty
Gerontology Occupational Therapist
225XG0600X

Other Gerontology Occupational Therapist Providers in SAINT LOUIS, MO

Name Credential NPI
KATHERINE RUMMEL 1013382886
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.